Short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA) secondary to epidermoid cyst in the right cerebellopontine angle successfully treated with surgery

The Journal of Headache and Pain

Brief Report

Juan Carlos Portilla Cuenca¹  Ignacio Casado Naranjo¹  Pedro Enrique Jiménez Caballero² 

[1] Department of Neurology, San Pedro de Alcántara Hospital, Avenida Pablo Naranjo, 10002, Cáceres, Spain;Department of Neurology, San Pedro de Alcántara Hospital, Avenida Pablo Naranjo, 10002, Cáceres, Spain;Calle Dionisio Acedo no 9, Portal 7, 4-1a, 10001, Cáceres, Spain;

关键词: SUNA;    Epidermoid cyst;    Cerebellopontine angle;    Surgery;    Treatment;   

DOI  :  10.1007/s10194-011-0326-4

 received in 2011-02-16, accepted in 2011-03-03,  发布年份 2011

来源: Springer

【 摘 要 】

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare headache syndrome classified among the trigeminal autonomic cephalalgias. It is usually idiopathic, although infrequent secondary forms have been described. Recently, the term short-lasting unilateral headache with cranial autonomic symptoms (SUNA) has been defined by the International Headache Society (ICHD-2) as similar to SUNCT with less prominent absent conjunctival injection and lacrimation. We report a patient with paroxysmal orbito-temporal pains, phenotypically suggesting SUNA, secondary to epidermoid cyst in the cerebellopontine angle which disappeared after tumor resection. Neuroimaging should be considered in all patients with SUNA, notably in those with atypical presentation as our patient who presented on examination trigeminal hypoesthesia and tinnitus. Realization of a brain MRI would rule out injuries that causes this type of syndrome.

【 授权许可】

CC BY   
© The Author(s) 2011